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Prosthetic Knee, Polycentric, Hydraulic Swing Control

Idaho rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Rates data updated July 2026.

Facilitymedian $4,169 · 10th–90th $2,291$5,4950%20%40%10th90th$4,169Professionalmedian $3,311 · 10th–90th $1,862$4,8980%20%10th90th$3,311$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,818.38
Typical High
$3,715.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$4,168.69
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,511.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,715.35
Typical High
$4,897.79
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,265.80
Typical High
$4,466.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$3,801.89
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,265.80
Typical High
$4,265.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$4,897.79
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,570.88
Typical High
$6,760.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,265.80
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3,019.95
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,995.26
Typical High
$3,090.30